Chirwere Chekudzivirira Chirwere Chemafu (IBD)
Kuchengetedza chirwere chetachiona uye chirwere cheCrohn chirwere chisingaperi chisingarapiki chemukati wemukati. Zvirwere zviviri zvinowanzobatanidzwa pamwe chete sekuputika kwechirwere chirwere (IBD) nekuda kwezviratidzo zvavo zvakafanana.
Vose vanoita mamiriyoni mashanu (kusanganisira 1.6 mamiriyoni eAmerica, 23,000 veAustralia, uye 250,000 veCanada) munyika yose vanogara neomufananidzo IBD. Mutengo wekurasikirwa kwehupfumi kumabhizimusi eUnited States nemhaka yeBD inofungidzirwa kuva yakawanda se $ .8 mabhiriyoni pagore.
Chirwere cheCrohn uye ulcerative colitis ndeyeupenyu hwese, husingaperi, asi kune hutano hunobudirira hunovapo. Kufambira mberi kwechiremba uye kupikisa kuri kuitika gore negore uye vanhu vakawanda vane IBD vanowana kuregererwa uye vanokwanisa kuchengetedza hupenyu hwavo.
> Cherechedza kuti sei ulcerative colitis inokonzera koni.
Vanhu vanoongororwa vane IBD vachadikanwa kuchengetedzwa nguva dzose kubva kune nyanzvi yezvokudya-gastroenterologist-uye rubatsiro kubva kune vamwe vatapi vehutano vakadai seftician / nutritionist, mutarisiri wekutanga, kana vamwe vadzidzisi sezvinodiwa.
Zvinhu Zvinokosha Kupfuura Zvose Kuziva
- Hapana chikonzero chakazivikanwa kana chirwere cheBD.
- Vanhu vane IBD havana kuzviita varwere nekuda kwekudya kusina kunaka kana kushushikana .
- Ikoko hapana anodya kunoshanda kune vanhu vose vane IBD.
- Chirwere cheCrohn uye ulcerative colitis chinogona kusanganiswa nematambudziko kunze kweropa rekudya (dambudziko rinowedzera mumatumbo).
- IBD haisi yakangofanana neinovhiringidza bowel syndrome (IBS) uye inobatwa zvakasiyana zvakasiyana.
- Vanhu vane IBD vari pangozi yekuwedzera dzimwe mamiriro ezvinhu.
- IBD haisi inowanzoonekwa sechinhu chinouraya .
Zviratidzo
Chirwere cheCrohn uye ulcerative colitis ine zviratidzo zvakafanana asi zvakasiyana nenzira iyo inobata nayo chirwere chekudya.
Mamiriro ose ega anewo maitiro akasiyana-siyana okuvhiya uye anogona kurapwa nemishonga yakasiyana-siyana yemishonga. Zviratidzo zvinowanzosanganisira, asi hazvirevi kune:
- Marwadzo emudumbu
- Kuonda
- Fever
- Rectal bleeding
- Ganda uye ziso zvinoshungurudza
- Diarrhea
Kuziva
Chiverengero chekuongorora zvirwere zvinowanzopedzwa uye zvakadzidzwa neyanzvi hwekudya kusati kwaonekwa chirwere cheBD. Iyo "yegoridhe" yekutarisa inonzi inonzi colonoscopy . Pakati pomuedzo uyu, fiber optic tube inowanikwa mukati re rectum apo murwere anogariswa kuti abvumira chiremba kuti aongorore rutivi rwemukati mudumbu uye kutora biopsies .
Dzimwe mimwe miedzo inogona kushandiswa pakuongororwa inosanganisira:
- Barium enema
- Kuyera ropa
- Capsule endoscopy
- Computed tomography (CT) scan
- Kumusoro kwepamuviri (kumusoro kweGI)
- Sigmoidoscopy
- Endoscopy yapamusoro
Kurapa
Zvirwere zvechirwere chinoshingaira, kana kuti " flare-ups ," uye nguva dzisina chirwere chekuita ( kuregererwa ) zvinowanzoitwa neBD. Chirwere chemishonga chinowanzoshandiswa kudzivirira kuputika (kunozivikanwa semishonga yekugadzirisa) kana kuti kudzora chinenge chichiripo.
Kuvhiya dzimwe nguva kunoshandiswa kuporesa IBD , uye rudzi rwekuvhiyiwa rinoshandiswa ruchasiyana zvakanyanya maererano nehuwandu hweBD uye pane imwe nzira yezvokudya zvinokonzerwa nokuputika. Mishonga inoshandiswa pakushandisa IBD inosanganisira:
- Sulfa zvinodhaka ( sulfasalazine )
- Corticosteroids ( budesonide , prednisone )
- 5-Aminosalicylates ( Asacol , Apriso , Pentasa, Rowasa, kana 5-ASA)
- Immunosuppressives ( Imuran , 6-MP , uye Methotrexate )
- Biologics ( Remicade , Entyvio , Humira )
Nheyo dzeCrohn's Disease
Chirwere cheCrohn chinogona kukanganisa utumbo muduku uye hukuru pamwe chete nedzimwe nhengo mumugwagwa wekudya. Kusiyana nekurwara kwehutachiona , iyo inongogadzirisa mukati memakumbo makuru emukati, chirwere cheCrohn chinowanzobatanidza zvose zvikamu zvemuviri mudumbu.
Mhando dzakasiyana-siyana dzekuvhiya dzinogona kushandiswa kurapa zviratidzo uye zvinetso zveCrohn's disease, asi hapana kune mushonga . Yakawanda ndeye resection , panguva iyo vanachiremba vanobvisa chikamu chetachiona chemukati uye vanogadzirisa zvakare mapofa maviri akachekwa. Kuvhiyiwa kweputi, kusanganisira colostomy uye ileostomy , kune dzimwe nzira dzokuvhiya dzinoshandiswa dzimwe nguva.
The Basics of Ulcerative Colitis
Mu ulcerative colitis, mukati mechidzitiro chemuviri mukuru (colon) uye rectum zvinopisa. Chirwere ichi hachibatsiri musikana muduku. Kuvhiya kwechirwere chepachirwere nguva dzose kunosanganisira kubviswa kweiyo yose yakawanda.
Zvokuvhiya zvinogona kusanganisira neostomy kana ileal pouch-anal anastomosis (IPAA), inowanzozivikanwa sej-pouch . Vanhu vazhinji vane ulcerative colitis havadi kuvhiyiwa, asi vanogona kutarisira mamiriro avo nemishonga.
Kusiyana pakati peCrohn's Disease and Ulcerative Colitis
Kurapa kweBD ikozvino kunobva pakuve nekuongororwa kweCrohn's disease kana ulcerative colitis, saka zvinokosha kutsanangura kusiyana pakati pavo.
Heano mamwe maonero akasiyana-siyana :
- Mu ulcerative colitis, kuvhuvhuta kuri mumukaka mukuru, nepo muCrohn's disease, kuputika kunogona kuonekwa chero kupi zvako muchikamu chekudya.
- Kuvhiringidzika kwechirwere cheCrohn chinokanganisa zvikamu zvose zvemukati emadziro, asi mu ulcerative colitis chete mukati memukati inoshandiswa.
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Chii Masayendisiti Anofunga Anokonzera Chirwere Chirwere uye Ulcerative Colitis?
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Iwe Unoziva Zvinorevei Kuva neBD Flare-Up?
- Kusvuta fodya kunogona kuwedzera hutachiona hweCrohn, asi vamwe vanhu vane chironda chekuonda kwehutachiona vanongowedzera chirwere ichi mushure mekunge varega kusvuta.
- Zvinyorwa kubva mumatumbo evanhu vane Crohn's disease zvinogona kuratidza granulomas , izvo zvisingawanikwi nevanhu vane ulcerative colitis.
- Mu ulcerative colitis, kuputika kunotanga pa rectum uye kunofambira mberi nenzira inoramba ichifamba mumukati mukuru, nepo muCrohn's disease, kuputika kunogona kutanga chero kupi uye kuonekwa mumakanda akaparadzaniswa nemhando dzakanaka.
- Zvakawanda zvepamusoro-gumbo uye mumatumbo zvinokonzerwa zvakafanana pakati pemhando dzeBD, asi mapfupa , zvipembenene , zviputi , fistura , fistula zvinowanzoonekwa kune vanhu vane Crohn's disease uye chirwere chekudzivirira muviri (kunyanya panguva yekutanga-up), kenza yakaoma , uye chepfu megacolon inowanzoonekwa kune vanhu vane ulcerative colitis.
Shoko Rinobva
Zvinosuruvarisa, chinokonzera chimwe nechimwe chezvirwere zvepachiviri ichi hachina kunzwisiswa uye hapana chimwe chazvo chine mushonga. Zviratidzo zvinoshungurudza, zvinonyadzisa, uye kunyange zvinokanganisa. Kutsvakurudza nekuziva zvakakosha muhondo yekukunda IBD.
Mashoko akanaka ndeokuti marapirwo ari kuwedzera gore rose. Kune mishonga mitsva iri kuongororwa uye inogamuchirwa iyo ine nani yekuregererwa kwehuwandu uye huwandu hunovhiringidza huipi kupfuura kare kare. Kutsigira kwevanhu vane IBD kunowanikwa zvakare, zvose zviri paIndaneti uye pasina, sezvo kushorwa kwechiitiko chiri kuputsika.
Kuonekwa kuti kune IBD kwakaoma uye upenyu hunochinja. Zvisinei, vanhu vakawanda vane hupenyu vanorarama hupenyu hunozadzisa, vanoroora, vane vana, uye vanonakidzwa nebasa rakabudirira. Kugadzirisa IBD kuburikidza nehukama hwepedyo ne gastroenterologist ichava chinhu chinokosha pakuwana kukanganwa nekudzivisa matambudziko akafanana.
> Sources:
> Bhandari BM, Kroser JA, Bloomfeld RS, Lynch SP. "Chirwere chechirwere chezvirwere." American College of Gastroenterology 2013.
> Crohn's uye Colitis Foundation yeAmerica. "Nezve Ulcerative Colitis & Proctitis." CCFA.org 2013.
> Crohns naColitis Foundation yeAmerica. "Crohn's Disease Chii?" CCFA.org 2013.
> Schraag J. "IBD: Current and Future Trends." EndoNurse 01 Dec 2005.